El Centro Medical Regional Center

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

95002686 Issued in CA

Legal business name

EL CENTRO MEDICAL REGIONAL CENTER

Practice address

1415 Ross Ave
El Centro, CA 92243-4306

Phone

(760) 339-7111

NPI assigned

Aug 10, 2015

Last updated

Aug 10, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Pedro Alonso Marroquin Colio Jr., NPNPI 1801267794

Title

Nurse Practitioner

Phone

(760) 604-2528

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pedro Alonso Marroquin Colio, NP-C

  • Family Nurse Practitioner
  • El Centro, CA
  • NPI 1801267794
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1225414592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 SANTILLAN ST",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922273813",
            "telephone_number": "760-604-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 ROSS AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434306",
            "telephone_number": "760-339-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL CENTRO MEDICAL REGIONAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "COLIO",
        "authorized_official_first_name": "PEDRO ALONSO",
        "authorized_official_middle_name": "MARROQUIN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "760-604-2528",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "95002686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• El Centro
• El Centro Adult Substance Use Disorder Treatment Program
• El Centro Comprehensive Pain Management Inc
• El Centro Comprehensive Pain Management Inc
• El Centro Elementary School District
• El Centro Pharmacy
• El Centro Physician Services, a Medical Corporation
• El Centro Regional Medical Center (Imperial Valley Provider Billing Services)
• El Centro Regional Medical Center (ECRMC Outpatient Clinic)
• El Centro Regional Medical Center

• General Acute Care Hospital in El Centro, CA
• Providers in El Centro, CA by specialty
• General Acute Care Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.